Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $147.27 / $288.60	Professional		$111.24	$147.27	$288.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $195.16 / $577.52	Professional		$145.13	$195.16	$577.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.14 / $214.23 / $411.04	Facility		$118.14	$214.23	$411.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $362.00 / $481.00	Professional		$220.04	$362.00	$481.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $254.29 / $601.25	Professional		$168.48	$254.29	$601.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.06 / $216.70 / $418.31	Facility		$118.06	$216.70	$418.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $254.42 / $488.22	Professional		$165.55	$254.42	$488.22
United Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $462.02 / $924.04	Professional		$415.00	$462.02	$924.04